Individual provider · Type 1 NPI

Jason Moore

Sports Medicine (Physical Medicine & Rehabilitation) Physician · Los Angeles, CA

NPI number 1679400899 Active

Practice location

4061 Karelia St
Los Angeles, CA 90065-3307

Mailing address

1577 E Chevy Chase Dr Ste 110
Glendale, CA 91206-4091

Specialties and licenses

TaxonomyCodeLicense
Sports Medicine (Physical Medicine & Rehabilitation) Physician Primary 2081S0010X51739 (CA)

Sports Medicine (Physical Medicine & Rehabilitation) Physician: A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology…

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About NPI 1679400899

Jason Moore's National Provider Identifier is 1679400899, issued on May 4, 2026. The primary taxonomy on file is Sports Medicine (Physical Medicine & Rehabilitation) Physician (2081S0010X), and the practice location is in Los Angeles, CA. The record was last updated on May 20, 2026.